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Dyane L Randle, IMF
Mental Health Counselor in Vallejo, California
NPI 1336287226

Dyane L Randle is a Mental Health Counselor based in Suisun City, CA and is specialized in Mental Health. Dyane L Randle practices in Vallejo, CA and has the professional credentials of IMF. The NPI Number for Dyane L Randle is 1336287226 and holds a License No. (California).

The current practice location address for Dyane L Randle is 908 Tuolumne St, Vallejo, CA and can be reached out via phone at 707-648-8121 and via fax at 707-648-8129.

Location: 908 Tuolumne St, Vallejo, CA, 94585-6326
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336287226
Provider Name
Dyane L Randle
Credential
IMF
Provider Entity Type
Individual
Gender
Female
Address
908 Tuolumne St, Vallejo, CA, 94585-6326
Phone Number
707-648-8121
Fax Number
707-648-8129
Provider Enumeration Date
02/02/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
908 Tuolumne St
City
Vallejo
State
California
Zip
94590-4641
Phone Number
707-648-8121
Fax Number
707-648-8129
person
Provider Business Mailing Address Details
Address
908 Tuolumne St
City
Vallejo
State
California
Zip
94590-4641
Phone Number
707-648-8121
Fax Number
707-648-8129
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
73635 (California)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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